DIA -VELORE DIVISIOA:

LIfe Insurance
Corporation of India
1lore Divi1sional 0fFice lt%11
Greup Schemes Depar tment Date 23/08/2022
Cost Beneflts Scthedule: Group Bank Loàn
Insurante Page 4

Customer Code 0734602 Customer Nane: VT

Annual Reneual Date: 18/07/2022
HIGH SCHOOL HR SEC SCHOO Policy No: 611003505
18/07 Premlun Mode Yearly
0 Emp No Emp loyee Name Cat D 0 B DOJ Loan TeTm
------ Age Lcsa PTemium
108 645 GOPALAKRISHNAN. T 1 28/08/1975 19/08/2010 600000 47 600000 4,680. 00
109 646 SOBAS. M ! 30/06/1980 11/06/2003 700000
42 700000 5, 460. 00
110 649 SHAMSHATHBEGAM. A !06/06/1971 07/12/2010 500000 0 5! 500000 3, 900. 00
111 0 SHARMILA. D 04/01/1986 30/12/2008 700000 0 37 700000 S, 460. 00
112 652 ELAYARAJA. B 1 15/06/1980 01/06/2006 700000 0 42 700000 5 460. 00
113 653 UMA. 1 21/06/1981 22/06/2001 700000 0 41 700000 5, 460. 00
115 655 POULINA.G 1 09/10/1970 31/07/1994 350000 0 350000
116 657 ADHI. P 1O6/04/1980 08/12/2010 700000
2,730. 00
2 700000 5, 460. 00
117 658 MALA AR. R 1 19/05/1975 06/02/2008 100000 47 100000 780. 00
118 659 SELVAKUMARI. K 1 21/05/1977 01/07/2004 100000 45 100000 780..00
119 b63 VENKATESAN. P I 30/06/1980 13/12/2000 400000 400000 3, 120. 00
121 665 KALAIYARASI. M 1 27/06/1979 15/09/2005 700000 43 700000 5, 460. 00
122 666 JAYAMANI. I 04/05/1980 27/02/2006 700000 0 2 700000 5, 460. 00
123 667 KALAIYARASI. K 1 09/06/1978 01/06/2006 700000 14 700000 5, 460. 00
124 670 RAMACHAND IRAN. M 1 05/04/1970 30/10/2000 700000 0 2 700000 5, 460. 00
126 675 KALAIVANI,. K 105/02/198227/01/2002 700000 40 700000 5, 460. 00
128 678 ARUNA. S 108/08/1981 02/03/2006 700000 700000 5 460. 00
129 680 SARAVANAN. C.R al07/03/1980/24/12/201 700000 o
132 689 KALAVATHI. M I 07/02/1967 01/08/1997 250000
427000005460.00
55 250000 1,950. 00
135 692 MURUGADOSS. S 1 16/05/1978 02/03/2006 700000 14 700000 5, 460. 00
136 673 MUTHUKANNAN. A 1 13/09/1979 29/07/2004 700000 700000 5, 460. 00
137 697 ELAVARASAN. D 1 07/06/1975 04/03/2014 600000 47 600000 4, 680. 00
138 679 RAVINTHRAN. P 1 03/02/1780 01/06/200% 700000 42 700000 5 460
139 701 LOORTHUMERY. M I04/01/1967 15/09/1987 300000 300000 2,340. 00
140 SIVAPRAKASAM. R 30/07/1973 23/03/2007 100000 100000 780.00
141 703 THANIKASALAM. M 1 04/05/1768 12/01/1999 700000 54 700000 5, 460. 00
142 706 AANI JAYASR I. A 1 30/p1/1969 17/09/2010 600000 53 600000 4,680. 00
143 707 ARON 1 23/05/1976 01/07/2004 700000 46 700000 5, 460. 00

Page Total 0. 0. 00

,0f RTA rates

225155
 D

388888888888 888 8 88888888888